NUR 325 Exam 2 Review Questions with
|\ |\ |\ |\ |\ |\ |\
answers
Which of the following health conditions would be LEAST likely to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cause fluid and electrolyte imbalances?
|\ |\ |\ |\
a. Vomiting and diarrhea
|\ |\ |\
b. Breaking a leg
|\ |\ |\
c. Renal failure
|\ |\
d. Congestive heart failure (CHF) - CORRECT ANSWERS ✔✔B
|\ |\ |\ |\ |\ |\ |\ |\
Which of the following group of symptoms would trigger you to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
think there may be some fluid and electrolyte imbalances in your
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient?
|\
a. Tinnitus, erythema, shortness of breath
|\ |\ |\ |\ |\
b. Petechiae, fever, low blood pressure
|\ |\ |\ |\ |\
c. Unexplained nausea, dizziness, edema
|\ |\ |\ |\
d. Tachycardia, drowsiness, nausea - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\ |\ |\ |\
The patient talks with the nurse about bladder health. What is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
one of the most important recommendations the nurse can make
|\ |\ |\ |\ |\ |\ |\ |\ |\
for this patient?
|\ |\ |\
a. Eat foods high in fiber.
|\ |\ |\ |\ |\
,b. Drink 6 to 8 glasses of noncaffeinated fluids daily.
|\ |\ |\ |\ |\ |\ |\ |\ |\
c. Exercise in the morning and evening.
|\ |\ |\ |\ |\ |\
d. Visit the urologist once yearly. - CORRECT ANSWERS ✔✔B
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(Drinking 6 to 8 glasses of noncaffeinated fluids daily helps with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bladder health because urine is not stagnating in the bladder.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Exercising and eating foods high in fiber help with bowel
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
elimination but do not have an effect on urination. Visiting the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
urologist is good if there is a problem, but this is not the most
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
important recommendation from the nurse.) |\ |\ |\ |\
The nurse is caring for a confused patient who is wearing a vest
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
restraint in bed. The nurse speaks with an unlicensed assistant
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
about toileting the patient. The nurse knows the unlicensed
|\ |\ |\ |\ |\ |\ |\ |\ |\
assistant understands the toileting procedure when making which
|\ |\ |\ |\ |\ |\ |\
statement?
|\
a. The patient must remain in the restraints all day.
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. The patient needs to be toileted to maintain a regular toileting
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
schedule.
|\
c. The patient needs to be provided with adult briefs for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
incontinence.
d. The patient will use the call bell when he or she feels the urge
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to void. - CORRECT ANSWERS ✔✔B (The correct answer is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
toileting the patient so he or she can maintain a normal toileting
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
schedule. Leaving the patient in restraints all day is against the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
standard of care. Providing the patient with briefs when he or she
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is not incontinent does not meet the patient's toileting needs. If
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the patient is confused, he or she will not be able to use the call
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bell.)
,If a patient has a colostomy in the area known as the "ascending
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
colon," what would the nurse expect of the stool in the colostomy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
device?
|\
a. Stool would be dark.
|\ |\ |\ |\
b. Stool would be formed.
|\ |\ |\ |\
c. Stool would be loose.
|\ |\ |\ |\
d. Stool would have flecks of blood. - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(The correct answer is C because stool in the ascending colon is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
loose or watery. Stool should not be dark or have flecks of blood.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
This would be an abnormal finding. Stool would not be loose,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
because the colon has not reabsorbed the water yet.)
|\ |\ |\ |\ |\ |\ |\ |\
The nurse is talking with a patient who was just diagnosed with a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
urinary tract infection. The patient asks the nurse how to prevent
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
such infections in the future. The nurse should make which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
appropriate recommendations for the patient? (Select all that |\ |\ |\ |\ |\ |\ |\ |\
apply.)
a. Drink 6 to 8 glasses of noncaffeinated fluids daily.
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. Exercise daily.
|\ |\
c. Increase fiber in the diet.
|\ |\ |\ |\ |\
d. Void when the urge is felt.
|\ |\ |\ |\ |\ |\
e. Eat fruit twice daily. - CORRECT ANSWERS ✔✔A D (Drinking
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
noncaffeinated drinks and voiding when the urge happens are |\ |\ |\ |\ |\ |\ |\ |\ |\
the most appropriate measures for avoiding a urinary tract
|\ |\ |\ |\ |\ |\ |\ |\ |\
infection. Increasing fiber, exercising, and eating fruit do not
|\ |\ |\ |\ |\ |\ |\ |\ |\
prevent a urinary tract infection.) |\ |\ |\ |\
, When assessing a patient's first voided urine of the day, which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
finding should be reported to the health care provider?
|\ |\ |\ |\ |\ |\ |\ |\
a. Pale yellow urine
|\ |\ |\
b. Slightly cloudy urine
|\ |\ |\
c. Light pink urine
|\ |\ |\
d. Dark amber urine - CORRECT ANSWERS ✔✔C (Light pink urine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indicates the presence of blood in the urine, which is never a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
normal finding. First voided urine can normally be slightly cloudy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and darker in color. Pale yellow urine indicates normal finding.)
|\ |\ |\ |\ |\ |\ |\ |\ |\
What is a critical step when inserting an indwelling catheter into
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a male patient?
|\ |\
a. Slowly inflate the catheter balloon with sterile saline.
|\ |\ |\ |\ |\ |\ |\ |\
b. Secure the catheter drainage tubing to the bed sheets
|\ |\ |\ |\ |\ |\ |\ |\ |\
c. Advance the catheter to the bifurcation of the drainage and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
balloon ports. |\
d. Advance the catheter until urine flows, then insert ¼ inch
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
more. - CORRECT ANSWERS ✔✔C (Advancing the catheter to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bifurcation avoids inflating the catheter balloon in the prostatic
|\ |\ |\ |\ |\ |\ |\ |\ |\
urethra causing trauma and pain. Catheter balloons are never
|\ |\ |\ |\ |\ |\ |\ |\ |\
inflated with saline. Securing the catheter drainage tubing to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bed sheets increases the risk for accidental pulling or tension on
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the catheter. The advancement of the catheter until flows and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
then inserting ¼ inch more is not unique to the male patient.)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\ |\
answers
Which of the following health conditions would be LEAST likely to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cause fluid and electrolyte imbalances?
|\ |\ |\ |\
a. Vomiting and diarrhea
|\ |\ |\
b. Breaking a leg
|\ |\ |\
c. Renal failure
|\ |\
d. Congestive heart failure (CHF) - CORRECT ANSWERS ✔✔B
|\ |\ |\ |\ |\ |\ |\ |\
Which of the following group of symptoms would trigger you to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
think there may be some fluid and electrolyte imbalances in your
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient?
|\
a. Tinnitus, erythema, shortness of breath
|\ |\ |\ |\ |\
b. Petechiae, fever, low blood pressure
|\ |\ |\ |\ |\
c. Unexplained nausea, dizziness, edema
|\ |\ |\ |\
d. Tachycardia, drowsiness, nausea - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\ |\ |\ |\
The patient talks with the nurse about bladder health. What is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
one of the most important recommendations the nurse can make
|\ |\ |\ |\ |\ |\ |\ |\ |\
for this patient?
|\ |\ |\
a. Eat foods high in fiber.
|\ |\ |\ |\ |\
,b. Drink 6 to 8 glasses of noncaffeinated fluids daily.
|\ |\ |\ |\ |\ |\ |\ |\ |\
c. Exercise in the morning and evening.
|\ |\ |\ |\ |\ |\
d. Visit the urologist once yearly. - CORRECT ANSWERS ✔✔B
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(Drinking 6 to 8 glasses of noncaffeinated fluids daily helps with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bladder health because urine is not stagnating in the bladder.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Exercising and eating foods high in fiber help with bowel
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
elimination but do not have an effect on urination. Visiting the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
urologist is good if there is a problem, but this is not the most
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
important recommendation from the nurse.) |\ |\ |\ |\
The nurse is caring for a confused patient who is wearing a vest
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
restraint in bed. The nurse speaks with an unlicensed assistant
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
about toileting the patient. The nurse knows the unlicensed
|\ |\ |\ |\ |\ |\ |\ |\ |\
assistant understands the toileting procedure when making which
|\ |\ |\ |\ |\ |\ |\
statement?
|\
a. The patient must remain in the restraints all day.
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. The patient needs to be toileted to maintain a regular toileting
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
schedule.
|\
c. The patient needs to be provided with adult briefs for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
incontinence.
d. The patient will use the call bell when he or she feels the urge
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to void. - CORRECT ANSWERS ✔✔B (The correct answer is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
toileting the patient so he or she can maintain a normal toileting
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
schedule. Leaving the patient in restraints all day is against the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
standard of care. Providing the patient with briefs when he or she
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is not incontinent does not meet the patient's toileting needs. If
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the patient is confused, he or she will not be able to use the call
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bell.)
,If a patient has a colostomy in the area known as the "ascending
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
colon," what would the nurse expect of the stool in the colostomy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
device?
|\
a. Stool would be dark.
|\ |\ |\ |\
b. Stool would be formed.
|\ |\ |\ |\
c. Stool would be loose.
|\ |\ |\ |\
d. Stool would have flecks of blood. - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(The correct answer is C because stool in the ascending colon is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
loose or watery. Stool should not be dark or have flecks of blood.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
This would be an abnormal finding. Stool would not be loose,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
because the colon has not reabsorbed the water yet.)
|\ |\ |\ |\ |\ |\ |\ |\
The nurse is talking with a patient who was just diagnosed with a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
urinary tract infection. The patient asks the nurse how to prevent
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
such infections in the future. The nurse should make which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
appropriate recommendations for the patient? (Select all that |\ |\ |\ |\ |\ |\ |\ |\
apply.)
a. Drink 6 to 8 glasses of noncaffeinated fluids daily.
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. Exercise daily.
|\ |\
c. Increase fiber in the diet.
|\ |\ |\ |\ |\
d. Void when the urge is felt.
|\ |\ |\ |\ |\ |\
e. Eat fruit twice daily. - CORRECT ANSWERS ✔✔A D (Drinking
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
noncaffeinated drinks and voiding when the urge happens are |\ |\ |\ |\ |\ |\ |\ |\ |\
the most appropriate measures for avoiding a urinary tract
|\ |\ |\ |\ |\ |\ |\ |\ |\
infection. Increasing fiber, exercising, and eating fruit do not
|\ |\ |\ |\ |\ |\ |\ |\ |\
prevent a urinary tract infection.) |\ |\ |\ |\
, When assessing a patient's first voided urine of the day, which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
finding should be reported to the health care provider?
|\ |\ |\ |\ |\ |\ |\ |\
a. Pale yellow urine
|\ |\ |\
b. Slightly cloudy urine
|\ |\ |\
c. Light pink urine
|\ |\ |\
d. Dark amber urine - CORRECT ANSWERS ✔✔C (Light pink urine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indicates the presence of blood in the urine, which is never a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
normal finding. First voided urine can normally be slightly cloudy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and darker in color. Pale yellow urine indicates normal finding.)
|\ |\ |\ |\ |\ |\ |\ |\ |\
What is a critical step when inserting an indwelling catheter into
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a male patient?
|\ |\
a. Slowly inflate the catheter balloon with sterile saline.
|\ |\ |\ |\ |\ |\ |\ |\
b. Secure the catheter drainage tubing to the bed sheets
|\ |\ |\ |\ |\ |\ |\ |\ |\
c. Advance the catheter to the bifurcation of the drainage and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
balloon ports. |\
d. Advance the catheter until urine flows, then insert ¼ inch
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
more. - CORRECT ANSWERS ✔✔C (Advancing the catheter to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bifurcation avoids inflating the catheter balloon in the prostatic
|\ |\ |\ |\ |\ |\ |\ |\ |\
urethra causing trauma and pain. Catheter balloons are never
|\ |\ |\ |\ |\ |\ |\ |\ |\
inflated with saline. Securing the catheter drainage tubing to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bed sheets increases the risk for accidental pulling or tension on
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the catheter. The advancement of the catheter until flows and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
then inserting ¼ inch more is not unique to the male patient.)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
